Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.82 / $2,104.82 / $4,422.75	Facility		$2,104.82	$2,104.82	$4,422.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.82 / $2,159.55 / $2,200.88	Professional		$2,104.82	$2,159.55	$2,200.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,493.97 / $3,958.36 / $4,422.75	Facility		$3,493.97	$3,958.36	$4,422.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.57 / $2,699.26 / $3,644.00	Professional		$2,157.57	$2,699.26	$3,644.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,335.05 / $4,865.03 / $6,634.13	Facility		$3,335.05	$4,865.03	$6,634.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,759.34 / $4,865.03 / $5,970.71	Professional		$3,759.34	$4,865.03	$5,970.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $4,422.75	Facility		$3,060.59	$3,060.59	$4,422.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $4,536.88	Professional		$2,234.23	$2,234.23	$4,536.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,314.07 / $2,206.46 / $3,037.41	Professional		$1,314.07	$2,206.46	$3,037.41